Native Americans and Alaska Natives have significantly very high rates of abuse and alcohol and drug addiction than other ethnicities, an a situation which should be resolved for these cultures to endure. Although the causes may vary from individual to individual, many of the factors for the significantly higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the nation. The most obvious barriers to treating Native Americans and Alaska Natives for substance abuse are cultural ones and language. This is why it is crucial that Native Americans and Alaska Natives in Skwentna, AK. obtain substance abuse treatment in an alcohol and drug treatment program that is culturally acceptable, and most importantly in a drug rehab program that understand the need to offer drug and alcohol treatment in their native tongue.